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Active NPI 1306091418 Individual Practitioner Male Practitioner

Dr. Byungjun Park , DDS

Dentist - General Practice • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Byungjun Park, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bellevue, WA. Practice services are available at 1551 116TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1551 116th Ave Ne
Suite B1

Bellevue, WA 980043814

Telephone 4253731605
Fax 4253731475
Associated Practice Facility / Clinic
🏢 Skin Surgery Center Ps Facility NPI 1689755894

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Bellevue, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60048922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Kam Derakshani , DDS

Dentist - General Practice

NPI 1104849900

Doctor of Dental Surgery

NPI 1265810063

Doctor of Dental Surgery

NPI 1851055156

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2013

Registered at 1551 116TH AVE NE, SUITE B1, BELLEVUE, WA 980043814 (Tel: 4253731605)

📍
Updated Business Mailing Address November 22, 2013

Registered at 1551 116TH AVE NE, SUITE B1, BELLEVUE, WA 980043814 (Tel: 4253731605)

👤
Provider Name / Credentials Updated November 22, 2013

Recorded as BYUNGJUN PARK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2013

Dentist (License #DE60048922 in WA)

🟢
Initial NPI Registration & Enumeration November 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306091418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2008
Last Update: November 22, 2013
Sole Proprietor: Yes

Mailing Address

1551 116th Ave Ne, Suite B1

Bellevue, WA 980043814

Phone: 4253731605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.